ROM Lower Limb Flashcards
Thoracolumbar flexion - tape measure
Position: standing
First Mark: C7 spine
Second Mark: S2 spine midway between PSIS
Alignment: tape measure between first and second marks. Record starting distance.
Instruction: bend forward as far as possible while keeping your knees straight
Measurement ending: about tape to unlined while maintaining against back. Record ending distance. Subtracts Starting distance from ending distance.
Lateral flexion - goniometer
Position: standing
Fulcrum: S2 spine
Proximal arm: perpendicular to the ground
Distal arm: aligned with C7 (do not follow curvature of the spine)
Thoracolumbar lateral flexion - Tape measure
Position: standing back against wall with arms relaxed
First Mark: tip of third finger on side
Instruction: bend as far to the right as you can while keeping back on wall, knees straight, feet flat.
Thoracolumbar extension - tape measure
Position: standing
First Mark: C7 spine
Second Mark: S2 spine midway between PSIS
Alignment: tape measure between first and second marks. Record starting distance.
Instruction: bend backward as far as possible
Measurements: reposition tape. Record ending distance. Subtract ending distance from starting distance
Thoracolumbar extension and flexion-double inclinometer’s
Inclinometer one: over T1
Inclinometer two: over S2
Rotation - goniometer
Position: sitting, no backrest
Fulcrum: center of top of head
Proximal arm: imaginary line between iliac tubercles
Distal arm: imaginary line between two acromial processes
Hindfoot eversion
Position: prone with feat off table
Fulcrum: posterior ankle, midway between malleoli
Proximal arm: posterior midline, lower leg
Distal arm: posterior midline of calcaneus
Tarsal joints inversion
Position: sitting
Fulcrum: interior ankle midway between malleoli
Proximal arm: tibial tuberosity
Distal arm: second metatarsal
Talocrural Dorsiflexion
Position: sitting
Fulcrum: lateral malleolus
Proximal arm: fibular head
Distal arm: Parallel to the fifth metatarsal
Ankle plantar flexors - Gastrocnemius
Position: supine knee in extension
fulcrum: lateral malleolus
Proximal arm: fibular head
Distal arm: parallel to lateral fifth metatarsal
Hindfoot inversion
Position: prone with feat off table
Fulcrum: posterior ankle, midway between malleoli
Proximal arm: posterior midline, lower leg
Distal arm: posterior midline of calcaneus
Talocrural Plantarflexion
Position: sitting
Fulcrum: lateral malleolus
Proximal arm: fibular head
Distal arm: parallel to the fifth metatarsal
Tarsal joints eversion
Position: sitting
Fulcrum: anterior ankle midway between malleoli
Proximal arm: tibial tuberosity
Distal arm: second metatarsal
Knee flexion (supine)
Position: supine
Fulcrum: lateral epicondyle
Proximal arm: greater trochanter
Distal arm: lateral malleolus
Knee extension (supine)
Position: supine with towel under ankle
Fulcrum: lateral epicondyle
Proximal arm: greater trochanter
Distal arm: lateral malleolus